MISS KENOSHA TILLMAN, NURSE PRACTITIONER

Nurse Practitioner - Psychiatric/Mental Health

Active Individual
NPI: 1275886103

Practice Address

5220 ROSEWOOD PL
Fairburn, GA 30213

Phone: (901) 277-7086

Specialties

Specialty Code Primary License
Nurse Practitioner - Psychiatric/Mental Health 363LP0808X Yes GAA-NP000960 (GA)

Frequently Asked Questions

NPI 1275886103 is the National Provider Identifier for MISS KENOSHA TILLMAN, NURSE PRACTITIONER, a Nurse Practitioner - Psychiatric/Mental Health provider located in Fairburn, GA. This NPI was enumerated on October 16, 2012.
MISS KENOSHA TILLMAN, NURSE PRACTITIONER practices at 5220 ROSEWOOD PL, Fairburn, GA 30213.

Quick Facts

NPI
1275886103
Type
Individual
Enumerated
Oct 16, 2012
Last Updated
Nov 7, 2024

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